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Mission

The National Library of Medicine (NLM), in Bethesda, Maryland, is a part of the National Institutes of Health, U.S. Department of Health and Human Services (HHS). Since its founding in 1836, NLM has played a pivotal role in translating biomedical research into practice. It is the world's largest biomedical library and the developer of electronic information services that deliver trillions of bytes of data to millions of users every day. Scientists, health professionals, and the public in the United States and around the globe search the Library's online information resources more than 1 billion times each year.

The Library is open to all and has many services and resources—for scientists, health professionals, historians, and the general public. NLM has over 13 million books, journals, manuscripts, audiovisuals, and other forms of medical information on its shelves, making it the largest health-science library in the world.

In today's increasingly digital world, NLM carries out its mission of enabling biomedical research, supporting health care and public health, and promoting healthy behavior by:

• Acquiring, organizing, and preserving the world's scholarly biomedical literature;
• Providing access to biomedical and health information across the country in partnership with the 5,600-member National Network of Libraries of Medicine (NN/LM®);
• Serving as a leading global resource for building, curating and providing sophisticated access to molecular biology and genomic information, including those from the Human Genome Project and NIH Roadmap;
• Creating high-quality information services relevant to toxicology and environmental health, health services research, and public health;
• Conducting research and development on biomedical communications systems, methods, technologies, and networks and information dissemination and utilization among health professionals, patients, and the general public;
• Funding advanced biomedical informatics research and serving as the primary supporter of pre- and post-doctoral research training in biomedical informatics at 18 U.S. universities.

Important Events in NLM History

1836—Library of the Office of the Surgeon General of the Army (the present National Library of Medicine) established.

1865—John Shaw Billings, M.D., appointed to supervise Surgeon General's Library, which he developed into a national resource of biomedical literature. He served as director until 1895.

1879—First volume of Index Medicus published.

1880—First volume of Index-Catalogue published.

1922—Library of the Office of the Surgeon General (Army) renamed Army Medical Library.

1952—Army Medical Library renamed Armed Forces Medical Library.

1956—Act of Congress moved Armed Forces Medical Library to U.S. Public Health Service (PHS) and rechristened it the National Library of Medicine (NLM).

1961—New Library building, #38 (at 8600 Rockville Pike, Bethesda, Maryland, on the NIH campus), dedicated.

1964—Medical Literature Analysis and Retrieval System (MEDLARS) became operational at NLM.

1965—Medical Library Assistance Act gave NLM responsibility of helping the nation's medical libraries through a grant program, and created the Regional Medical Library Network (now the National Network of Libraries of Medicine).

1967—Toxicology Information Program established at NLM in response to recommendations of the President's science advisory committee.

1968—NLM became a component of NIH. The Lister Hill National Center for Biomedical Communications, NLM's research and development component, was created by Congress.

1971—MEDLINE ("MEDLARS Online") was initiated to provide online access to a subset of references in the MEDLARS database.

1972—TOXLINE, an online bibliographic service covering pharmacology and toxicology, became operational.

1980—NLM's Lister Hill National Center for Biomedical Communications building, #38A, was dedicated. The new structure, adjacent to the Library, houses NLM's research and development components.

1986—Grateful Med—PC-based, user-friendly software for accessing MEDLARS—was introduced to the health community.

1988—The National Center for Biotechnology Information (NCBI) was created by Congress as a national resource for molecular biology information.

1993—National Information Center on Health Services Research and Health Care Technology was created by Congress as a national resource for health services research and evidence-based practice guidelines.

1993—NLM's Internet World Wide Web site (www.nlm.nih.gov) appeared.

1994—The Visible Human Male, a large computer dataset of images based on a cadaver, was introduced. The Visible Human Female appeared 1 year later.

1997—Web-based access to NLM's MEDLINE became available free of charge.

1998—MedlinePlus created to provide access to consumer health information.

2000—ClinicalTrials.gov, an online resource designed to give the public easy access to information about research studies, was launched.

NLM Legislative Chronology

August 3, 1956—An amendment to Title III of the Public Health Service Act, the National Library of Medicine Act, placed the Armed Forces Medical Library under the PHS, and renamed it the National Library of Medicine (Public Law 84-941).

October 22, 1965—The Medical Library Assistance Act of 1965 (Public Law 89-291) was signed into law, authorizing NLM's extramural programs of grant assistance to help expand and improve the nation's medical library and health communications resources, technology, and professional staff for service to the health community.

August 3, 1968—Public Law 90-456 authorized the designation of the Lister Hill National Center for Biomedical Communications.

November 4, 1988—Public Law 100-607 authorized the establishment of the National Center for Biotechnology Information at NLM.

June 10, 1993—Public Law 103-43 authorized the establishment of the National Information Center on Health Services Research and Health Care Technology at NLM.

November 21, 1997—The Food and Drug Administration Modernization Act (Public Law 105-115) called for the creation of the centralized, consumer-friendly online listing of clinical trials that would become ClinicalTrials.gov.

Biographical Sketch of NLM Director Donald A.B. Lindberg, M.D.

Donald A.B. Lindberg, M.D., a scientist who has been a pioneer in applying computer technology to health care since 1960 at the University of Missouri, in 1984 was appointed Director of the National Library of Medicine, the world's largest biomedical library (FY 2009 annual appropriation of $331 million and 731 FTE).

From 1992 to 1995, he served in a concurrent position as founding Director of the National Coordination Office for High Performance Computing and Communications (HPCC) in the Office of Science and Technology Policy, Executive Office of the President. In 1996 he was named by the HHS Secretary to be the Coordinator for the G-7 Global Health Applications Project.

In addition to an eminent career in pathology, Dr. Lindberg has made notable contributions to information and computer activities in medical diagnosis, artificial intelligence, and educational programs. Before his appointment as NLM Director, he was Professor of Information Science and Professor of Pathology at the University of Missouri-Columbia. He has current academic appointments as Clinical Professor of Pathology at the University of Virginia and Adjunct Professor of Pathology at the University of Maryland School of Medicine.

Dr. Lindberg was elected the first President of the American Medical Informatics Association (AMIA). As the country's senior statesman for medicine and computers, he has been called upon to serve on many boards including the Computer Science and Engineering Board of the National Academy of Sciences, the National Board of Medical Examiners, and the Council of the Institute of Medicine of the National Academy of Sciences.

Dr. Lindberg is the author of 3 books (The Computer and Medical Care; Computers in Life Science Research; and The Growth of Medical Information Systems in the United States), several book chapters, and more than 200 articles and reports. He has served as editor and editorial board member of 9 publications including the Journal of the American Medical Association.

Dr. Lindberg graduated Magna cum Laude from Amherst College and received his M.D. from the College of Physicians and Surgeons, Columbia University. Among the honors he has received are Phi Beta Kappa, Simpson Fellow of Amherst College, Markle Scholar in Academic Medicine, Surgeon General's Medallion, recipient of the First AMA Nathan Davis Award for outstanding Member of the Executive Branch in Career Public Service, the Walter C. Alvarez Memorial Award of the American Medical Writers Association, the Presidential Senior Executive Rank Award, Founding Fellow of the American Institute of Medical and Biological Engineering, the Outstanding Service Medal of the Uniformed Services University of the Health Sciences, Federal Computer Week's Federal 100 Award, Computers in Healthcare Pioneer Award, Association of Minority Health Professions Schools Commendation, RCI High Performance Computing Industry Recognition Award, U.S. National Commission on Libraries and Information Science Silver Award, Council of Biology Editors Meritorious Award, HHS Meritorious Service Award, Medical Library Association President's Award, American College of Medical Informatics Morris F. Collen, M.D. Award of Excellence, Johns Hopkins University School of Medicine Ranice W. Crosby Distinguished Achievement Award, New York Academy of Medicine Information Frontier Award, Cosmos Club Award, American Medical Women's Association Lila A. Wallis Women's Health Award, U.S. Medicine Frank Brown Berry Prize, and Fellow of the American Association for the Advancement of Science and the New York Academy of Medicine. He has also received honorary doctorates from Amherst College, the State University of New York at Syracuse, the University of Missouri-Columbia, and the University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria.

NLM Directors

Name	In Office from	To
Leon Lloyd Gardner	1945	1946
Joseph Hamilton McNinch	1946	1949
Frank Bradway Rogers	1949	1963
Martin Marc Cummings	1964	1984
Donald A.B. Lindberg	1984	Present

Major Divisions

Division of Library Operations
http://www.nlm.nih.gov/bsd/bsdhome.html

• The Bibliographic Services Division (BSD), a part of Library Operations at NLM, fosters expanded access of health information to health professionals and the general public by creating MEDLINE®, NLMs premiere citation database to biomedical literature references.
• Interactions with publishers and editors of biomedical journals and assisting the NLM Literature Selection Technical Review Committee (LSTRC) in their review of journals for inclusion in MEDLINE. A list of committee members is available. A list of titles recently selected is also available.
• Promotion of NLM products and services.
• Index Section-creates and maintains the MEDLINE database containing references to current articles from over 5,000 of the world's biomedical journals; coordinates the data entry, indexing, and commentary contracts; and conducts research leading to more efficient forms of indexing and data entry.
• MEDLARS Management Section (MMS) - responsible for coordinating the overall development and management activities for MEDLINE/PubMed, the UMLS, and other NLM projects and services.

Division of Specialized Information Services (SIS)
http://sis.nlm.nih.gov

• The SIS creates information resources and services in toxicology, environmental health, chemistry, and HIV/AIDS. Another component of SIS, the Outreach and Special Populations Branch (OSPB), seeks to improve access to quality and accurate health information by underserved and special populations.
• SIS's Toxicology and Environmental Health Information Program produces TOXNET®, a collection of toxicology and environmental health databases. TOXNET includes the Hazardous Substances Data Bank (HSDB®), a database of potentially hazardous chemicals, TOXLINE® (containing references to the world's toxicology literature), and ChemIDplus® (a chemical dictionary and structure database). 
• TOXMAP® is a resource that uses maps of the United States to show the amount and location of certain toxic chemicals released into the environment. WISER® is a system designed to assist first responders in hazardous material incidents. Haz-Map® links jobs and hazardous tasks with occupational diseases and their symptoms.
• SIS also produces DIRLINE®, a directory of organizations and other resources in health and biomedicine and Health Hotlines®, a database of health-related organizations operating toll-free telephone services.
• Some SIS products help to address the toxicology and environmental health information needs of the general public. One such resource is Tox Town®, an interactive guide to toxic chemicals and environmental health issues in everyday locations. It is a companion to the extensive information in the TOXNET collection of databases. Tox Town also offers some resources in Spanish. The Household Products Database is a consumer's guide that provides information on the potential health effects of chemicals contained in more than 7,000 common household products used inside and around the home. This database allows consumers, scientists, and health professionals to investigate ingredients in brand-name products.
• SIS coordinates many of NLM's HIV/AIDS information activities and its Web site provides access to a comprehensive list of resources within and outside of NLM. SIS collaborates with other agencies to produce AIDSinfo, the primary Department of Health and Human Services Web site for federally approved treatment guidelines, clinical trials, drug, and vaccine information.
• The Outreach and Special Populations Branch manages and develops programs in an effort to eliminate disparities in accessing health information by providing community outreach support, training of health professionals to use NLM's health information databases, and designing special population Web sites that address specific concerns in various racial and ethnic groups. SIS outreach programs reach health professionals, public health workers and the general public, especially about health issues that disproportionately impact minorities such as environmental exposures and AIDS. OSPB is committed to improving access to health information by minority and underserved populations.

Lister Hill National Center for Biomedical Communications
http://www.lhncbc.nlm.nih.gov/

• Performs research in developing Next Generation electronic health records to facilitate patient-centered care and advancing clinical decision support systems.
• Conducts and supports research in natural language processing to extract usable and meaningful information from biomedical text.
• Performs extensive research and development in the capture, storage, processing, retrieval, transmission, and display of biomedical documents and medical imagery. Areas of active investigation include image compression, image enhancement, image recognition and understanding, image transmission, and user interface design.
• Performs extensive research in developing advanced computer technologies to facilitate the access, storage, and retrieval of biomedical information.
• Performs extensive research in developing and advancing infrastructure capabilities such as high-speed networks, nomadic computing, network management, and improving the quality of service, security, and data privacy.
• Performs extensive research and development in the capture, storage, processing, retrieval, transmission, and display of multimedia biomedical data. Multimedia products include high quality video, audio, imaging, and graphics materials.

National Center for Biotechnology Information (NCBI)
http://www.ncbi.nlm.nih.gov

• Conducts research on fundamental biomedical problems at the molecular level using mathematical and computational methods.
• Maintains collaborations with several NIH institutes, academia, industry, and other governmental agencies.
• Fosters scientific communication by sponsoring meetings, workshops, and lecture series
• Supports training on basic and applied research in computational biology for postdoctoral fellows through the NIH Intramural Research Program.
• Engages members of the international scientific community in informatics research and training through the Scientific Visitors Program.
• Develops, distributes, supports, and coordinates access to a variety of databases and software for the scientific and medical communities.
• Develops and promotes standards for databases, data deposition and exchange, and biological nomenclature.

Office of Computer & Communications Systems (OCCS)
http://www.nlm.nih.gov/occs/occs.html

• The OCCS provides efficient, cost-effective computing and networking services, technical advice, and collaboration in informational sciences in support of the research and management programs offered through NLM.
• OCCS develops and provides the NLM backbone computer networking facilities, and supports, guides, and assists other NLM components in local area networking. The Division provides professional programming services and computational and data processing facilities to meet NLM program needs; operates and maintains the NLM Computer Center; designs and develops software; and provides extensive customer support, training courses and seminars, and documentation for computer and network users.
• OCCS helps to coordinate, integrate, and standardize the vast array of computer services available throughout all of the organizations comprising NLM. The Division also serves as a technological resource for other parts of the NLM and for other Federal organizations with biomedical, statistical, and administrative computing needs.
• The Division promotes the application of High Performance Computing and Communication to biomedical problems, including image processing.
• The OCCS staff develops computer-based systems for information retrieval applications, conducts computer science and engineering research and development, and consults and collaborates in the area of advanced electronic office automation facilities. They support software systems to perform these services, and conduct research and evaluations for best fit solutions to information access needs.